“…9 Cumulatively, there is plenty of evidence showing enhanced cellular functions on nanophase materials compared with their nanosmooth counterparts. 7 Specifically in orthopedics, some of the chemistries that demonstrate higher cellular adhesion and long-term cellular functions upon the creation of a nanophase topography are TiO 2 , Al 2 O 3 , hydroxyapatite, poly(lactic-co-glycolic acid) (PLGA), carbon nanotubes, and carbon nanofibers. 10,11 Although the list can be expanded with various other surface chemistries and tissue types, the major reason for this enhancement in cellular functions has been correlated with the interaction of the adherent cells with the initially adsorbed proteins on to the biomaterial surface.…”